In 1923, after the establishment of the Irish Free State, Sir John wrote to the President of the Council of the Irish Free State to start the process of breaking the Brigade away from the control of the British Red Cross Society and the Order of the St John of Jerusalem.
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Following a report by Dr. John Lumsden, they were built between 1896 and 1945 by the Iveagh Trust, including formerly the Iveagh Public Baths and the Iveagh Market building on Francis Street.
The first division founded in what was to later become the Irish Free State was the Dublin (St James's Gate) Ambulance Division, formed in 1903 at the Guinness Brewery at St. James's Gate in Dublin, under the guidance of Dr. (later Sir) John Lumsden.